• Clin Med (Lond) · Jul 2019

    Case Reports

    Lessons of the month 1: Fatal oesophago-pericardial fistula with cerebral air embolism after elective atrial fibrillation ablation.

    • Jonathan Dutton, Marco Morosin, Rita Fernandez-Garda, Vladamir Anikin, Ana Hurtado-Doce, and Nicholas Lees.
    • Royal Brompton and Harefield NHS Foundation Trust, London, UK jonathan.dutton@doctors.org.uk.
    • Clin Med (Lond). 2019 Jul 1; 19 (4): 331333331-333.

    AbstractOesophago-pericardial fistula following any electrophysiological procedure is a rare, and potentially, life-threatening condition. Initial presentation can easily be misdiagnosed, as symptoms vary and are not specific. Echocardiography is an invaluable tool to diagnose and rule out complications. We present the case of a 68-year-old patient who developed an oesophago-pericardial fistula complicated with purulent pericarditis, sepsis and cerebral air embolism. In conclusion, this case report encourages physicians to use strategies that may help with early diagnosis and lead to potential lifesaving interventions.© Royal College of Physicians 2019. All rights reserved.

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